Mind Care, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND CARE, LLC

Practice address

108 Constitution Dr
Alexandria, LA 71303-3521

Phone

(318) 704-0640

Fax

(318) 704-0642

NPI assigned

Dec 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alyssa M CzudekNPI 1912552027

Title

Aprn, Pmhnp-BC

Phone

(318) 704-0640

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Czudek, APRN Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Czudek, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, LA
  • NPI 1912552027
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1790323095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BASS RD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714466545",
            "telephone_number": "337-353-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CONSTITUTION DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033521",
            "telephone_number": "318-704-0640",
            "fax_number": "318-704-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "CZUDEK",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "APRN, PMHNP-BC",
        "authorized_official_telephone_number": "318-704-0640"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.leadingreach.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "108 Constitution Dr",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713033521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alyssa Czudek, APRN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine R Mills, CAC
• Monica Mills, MHP
• Misty Lynn Millsap, RN
• Gwen Ruth Milo, M.ED. EDUCATION
• Christy Min
• Mind-Body Wellness, LLC
• Mindful Pathways LLC
• Laqaaron Mingo
• Tyronicca Mingo
• Minimally Invasive Image Guided Specialists, LLC

• Psychiatric/Mental Health Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.